NOTE:
Only form of payment accepted through mail are money orders in US funds.
First
Name:________________________________________
Last
Name:________________________________________
Address:__________________________________________
City:__________________________State:______________
Zip/Postal
Code:____________ Country:______________
Birthdate:_________________________________
Email Address:________________________________
-------------------------------------------------------------------------------------------------
Autograph (Circle One):
YES
NO
Personalized to: _______________________
Please make money orders payable to Natasha Yi.
NOTE: Money orders
must be in US funds
Thanks for your support!
Please allow 2-6 weeks for delivery upon receipt of payment.
This is to ensure proper handling and an authentic signature from Natasha
Yi.
-------------------------------------------------------------------------------------------------
Signature: __________________________________
|
ITEM NUMBER/DESCRIPTION
|
PRICE |
QUANTITY |
TOTAL COST PER ITEM |
| # |
$ |
|
$ |
| # |
$ |
|
$ |
| # |
$ |
|
$ |
| # |
$ |
|
$ |
| |
|
SUB TOTAL |
$ |
| |
|
PLUS SHIPPING & HANDLING |
$8.95 |
| |
|
For
International Orders ADD
$4.00 |
$ |
| |
|
TOTAL COST |
$ |
_____________________________________________________________________________
|